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General NPI Number Information
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NPI Number | 1346115607
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Entity Type | Individual
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Provider Name | MICHELLE ANN ROSE PHD, MPH, MSN-FNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 8510 SCENIC RIDGE WAY
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City | BALL GROUND
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State | GA
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Zip | 30107-5111
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Country | US
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Telephone | 678-371-7265
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Fax | 678-371-7265
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Provider Business Mailing Address
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Address Line | 8510 SCENIC RIDGE WAY
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City | BALL GROUND
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State | GA
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Zip | 30107-5111
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Country | US
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Telephone | 678-371-7265
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Fax | 678-371-7265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | PHCP043748
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11044763
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN316227
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License Number State | GA
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